Gebz:V1.0 FHIR IG

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Versie door Lilian Minne (overleg | bijdragen) op 27 feb 2020 om 16:02 (links en naamgeving profielen bijgewerkt)
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{{#customtitle:FHIR Implementation Guide Geboortezorg v2.3 | FHIR Implementation Guide Geboortezorg v2.3}}

AfsprakenstelselFunctioneelTechnischAfspraken-Functioneel-Technisch

Introduction

This page details the HL7 FHIR requirements for exchanging the Geboortezorg v2.3 data described in Functioneel.

Use case: Register Prio1 data

Introduction

The Register Prio1 transaction is used by the sending XIS to send the relevant data to the registry.

Actors

Transaction group Transaction Actor Role
Register Prio1(PUSH) Register Prio1 Healthcare professional (using a XIS) Sends Prio1 data to registry
Retrieve Prio1(PULL) Querying XIS Healthcare professional (using a XIS) Retrieves Prio1 data from registry

Invocations

Sending XIS: request message

Trigger Events

Message Semantics

Because the data needed will most likely consist of multiple FHIR resources, a document Bundle is used.

The interaction is performed by an HTTP POST command as shown:

POST [base] {?_format=[mime-type]}

The body of the post submission is a Bundle with Bundle.type = document. The first entry contains a Composition resource, and each subsequent entry contains a resource that is referenced from the Composition resource. By sending it to the target's base, the document Bundle will be processed as a transaction and each Bundle.entry will be treated as a create interaction for the entry.resource.

Examples

Example FHIR resources can be found here: Birthcare FHIR examples

Search

Example search URLs can be found in the list of StructureDefinitions below. Some searches require the implementation of custom search parameters. These parameters can be found here: https://simplifier.net/geboortezorg-stu3/~resources?category=SearchParameter

List of StructureDefinitions

Graphical overview

The following link Media:FHIR Geboortezorg Profielen Prio1 27-02-2020.png provides a graphical overview of the structure definitions and their relations.

Table

Name PWD 2.3 id FHIR Profile FHIR Example Example SEARCH URL
Vrouw bc-Woman (derived from nl-core-patient) Patient
GET [base]/Patient/[vrouwid]
GET [base]/Patient?identifier=[bsn]
Zorgverlener nl-core-practitioner Practitioner
GET [base]/Practitioner/[zorgverlenerid]
GET [base]/Practitioner?identifier=[lvrid]
Zorginstelling nl-core-organization Organization
GET [base]/Organization/[zorginstellingid]
GET [base]/Organization?identifier=[lvrid]
Zorgverlenerrol nl-core-practitionerrole Patient
GET [base]/PractitionerRole/[zorgverlenerrolid]
GET [base]/PractitionerRole?practitioner:Practitioner.identifier=[lvrid]
Zwangerschapsdossier bc-MaternalRecord EpisodeOfCare
GET [base]/EpisodeOfCare/[dossierid]
GET [base]/Observation,Condition,Procedure?eoc=[dossierid]
GET [base]/Observation,Condition,Procedure?eoc:EpisodeOfCare.condition:Condition.clinical-status=active
Zwangerschap peri23-dataelement-3 zib-Pregnancy Condition
GET [base]/Condition/[zwangerschapid]
GET [base]/Condition?clinicalstatus=active
GET [base]/Condition?clinicalstatus=inactive&_sort=_-id&_count=1
GET [base]/Condition?subject=[patientid]&_revinclude=Observation:focus
Bloedgroep vrouw peri23-dataelement-10810 zib-LaboratoryTestResult-Observation Observation
GET [base]/Observation?code=883-9{&subject=[vrouwid]&eoc=[dossierid]}
Rhesus D Factor vrouw peri23-dataelement-10811 zib-LaboratoryTestResult-Observation Observation
GET [base]/Observation?code=1305-2{&subject=[vrouwid]&eoc=[dossierid]}
Rhesus c Factor peri23-dataelement-10816 zib-LaboratoryTestResult-Observation Observation
GET [base]/Observation?code=1159-3{&subject=[vrouwid]&eoc=[dossierid]}
Hb waarde peri23-dataelement-10814 zib-LaboratoryTestResult-Observation Observation
GET [base]/Observation?code=718-7{&subject=[vrouwid]&eoc=[dossierid]}
A terme datum peri23-dataelement-20030 zib-Pregnancy-DueDate Observation
GET [base]/Observation?code=11778-8{&subject=[vrouwid]&eoc=[dossierid]&focus=[zwangerschapid]}
Graviditeit peri23-dataelement-20010 zib-Pregnancy-Gravidity Observation
GET [base]/Observation?code=11996-6{&subject=[vrouwid]&eoc=[dossierid]&focus=[zwangerschapid]}
Pariteit peri23-dataelement-20150 zib-Pregnancy-Parity Observation
GET [base]/Observation?code=11977-6{&subject=[vrouwid]&eoc=[dossierid]&focus=[zwangerschapid]}
Wijze einde zwangerschap peri23-dataelement-80625 bc-Pregnancy-EndType Observation
GET [base]/Observation?code=EindeZw{&subject=[vrouwid]&eoc=[dossierid]&focus=[zwangerschapid]}
Datum einde zwangerschap peri23-dataelement-20540 bc-Pregnancy-EndDate Observation
GET [base]/Observation?code=xxx{&subject=[vrouwid]&eoc=[dossierid]&focus=[zwangerschapid]}
Zwangerschapsduur peri23-dataelement-20062 zib-Pregnancy-Duration
GET [base]/Observation?code=57036006{&subject=[vrouwid]&eoc=[dossierid]&focus=[zwangerschapid]}
Bevalling peri23-dataelement-6 bc-DeliveryProcedure Procedure
GET [base]/Procedure?code=236973005{&subject=[vrouwid]&eoc=[dossierid]&reasonReference=[zwangerschapid]}
Ontsluitingsfase, uitdrijvingsfase, nageboortefase peri23-dataelement-6 bc-Delivery-StageOfLabor Observation
GET [base]/Observation?code=6893006,42857002,15898009{&subject=[vrouwid]&eoc=[dossierid]&partof=[bevallingid]&focus=[kindid]}
Tijdstip begin actieve ontsluiting peri23-dataelement-20590 bc-OnsetOfLaborFirstStage Observation
GET [base]/Observation?code=249120008{&subject=[vrouwid]&eoc=[dossierid]&focus=[ontsluitingsfaseid]}
Tijdstip actief meepersen peri23-dataelement-30030 bc-OnsetOfPushing Observation
GET [base]/Observation?code=249163006{&subject=[vrouwid]&eoc=[dossierid]&focus=[uitdrijvingsfaseid]}
Type partus peri23-dataelement-80626 bc-ParturitionType Observation
GET [base]/Observation?code=364336006{&subject=[vrouwid]&eoc=[dossierid]&focus=[uitdrijvingsfaseid]}
Hoeveelheid bloedverlies peri23-dataelement-20640 bc-BloodLoss Observation
GET [base]/Observation?code=64332008{&subject=[vrouwid]&eoc=[dossierid]&focus=[uitdrijvingsfaseid]}
Vaginale kunstverlossing peri23-dataelement-40190 bc-ObstetricProcedure Procedure
GET [base]/Procedure?code=3311000146109{&subject=[vrouwid]&eoc=[dossierid]&partof=[bevallingid,uitdrijvingsfaseid]}
Conditie perineum postpartum peri23-dataelement-80673 bc-StatePerineumPostPartum Observation
GET [base]/Observation?code=364297003{&subject=[vrouwid]&eoc=[dossierid]&focus=[nageboortefaseid]}
Kind bc-Child (of nl-core-patient) Patient
GET [base]/Patient/[kindid]
Geboortedatum peri23-dataelement-40050 bc-Child (of nl-core-patient) Patient.birthdate
GET [base]/Patient/[kindid]
Apgarscore na 5 min. peri23-dataelement-40071 zib-ApgarScore Observation
GET [base]/Observation?code=9274-2{&subject=[kindid]&eoc=[dossierid]}
Geboortegewicht peri23-dataelement-40060 zib-BodyWeight Observation
GET [base]/Observation?code=29463-7{&subject=[kindid]&eoc=[dossierid]}

Terminology, NamingSystems, Mappings

Terminology

Relevant value sets can be found here. All resources can be downloaded in a .zip in XML or JSON format. In the .zip, the value sets are stored in the directory 'value sets'.